Carla Trevizo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

10700 Charter Dr Ste 205
Columbia, MD 21044-3687

Phone

(443) 546-1575

Fax

(443) 546-1576

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1962969600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443687",
            "telephone_number": "443-546-1575",
            "fax_number": "443-546-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 205",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443687",
            "telephone_number": "443-546-1575",
            "fax_number": "443-546-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVIZO",
        "first_name": "CARLA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Travis, CRNA
• Marquisha Traylor
• Spencer Henry Tredo, PT
• Sara Trescott, LCPC, NCC
• Jean Ann Tretler, R.N., IBCLC
• Trident Medical Group PA
• Anh Trinh
• Trinity Familycare and Express Healthcare LLC
• Kaylee Joyce Triplett
• Jeleesa Triplin, BEHAVIOR TECH

• Physical Therapy Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.